| NPI | 1801118179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03667100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054258) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2022-06-23 |