| NPI | 1821638156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03837800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 062755) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-07-30 |