| NPI | 1629401930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057651) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03392400) |
| Enumeration Date | 2013-08-10 |
| Last Update Date | 2021-05-10 |