| NPI | 1811579253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI0341400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 064747) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-05-03 |