| NPI | 1588284541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 066560) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04081300) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |