| NPI | 1629559125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 86114) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP452519) |
| 183500000X Pharmacist (Licence: NJ 28RI03958800) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-02-21 |