| NPI | 1750985479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03720100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP450041) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-12-01 |