| NPI | 1861058091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057198) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 0006531) |
| 171100000X Acupuncturist (Licence: NJ 25MZ001389) | |
| 183500000X Pharmacist (Licence: NJ 28RI04141900) | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2023-05-09 |