| NPI | 1538577135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I067701-01) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03471600) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2024-09-06 |