| NPI | 1710582119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP448875) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03639800) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |