| NPI | 1881487577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03481100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054756) |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-06-07 |