| NPI | 1720537079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02945300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 061763) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-10-12 |