| NPI | 1710579560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I060358) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03703800) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2022-03-09 |