| NPI | 1528458395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 25731) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: NJ 28RW020116600) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2019-09-14 |