| NPI | 1801583786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: IL 051304116) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04111100) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |