| NPI | 1700290442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04303800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 70058) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-09-08 |