| NPI | 1578166740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 067074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04059000) |
| 183500000X Pharmacist (Licence: NY 067074) | |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |