| NPI | 1659705721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03586800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RR447875) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2024-09-24 |