| NPI | 1881964492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 20 055048) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03380000) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2020-11-16 |