| NPI | 1790305373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NJ 28RI03680800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0004691) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |