| NPI | 1710561204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28ri04312400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302413164) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2023-09-26 |