| NPI | 1578282901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04191300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 069060) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |