| NPI | 1679972566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03404600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 060430) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2019-09-03 |