| NPI | 1619587466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04127000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ NJDCATEMP-025567) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-10-06 |