| NPI | 1528781242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI01996500) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174H00000X Health Educator (Licence: 18766) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |