| NPI | 1699103192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL 3158637) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03600700) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2025-03-11 |