| NPI | 1639684632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I065581-01) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03910700) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2025-02-10 |