| NPI | 1598953804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 052467) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19467) |
| 183500000X Pharmacist (Licence: NJ RI31751) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2021-12-26 |