| NPI | 1821602483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI3968200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS63670) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2022-01-07 |