| NPI | 1760932644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 0622276) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03859200) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2021-01-04 |