| NPI | 1740670520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 066268) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04075600) |
| 183700000X Pharmacy Technician | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2020-11-07 |