| NPI | 1700510559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03168900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 051957) |
| 183500000X Pharmacist (Licence: CA 84537) | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |