| NPI | 1598082497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03106800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH25232) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2026-01-11 |