| NPI | 1548543689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03451800) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH235242) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2022-11-21 |