| NPI | 1841828779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03369100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 064920) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2022-10-13 |