| NPI | 1649924481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04226700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 66139) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |