| NPI | 1598034704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03790400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-292504) |
| 183500000X Pharmacist (Licence: PA RP444148) | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2023-02-10 |