| NPI | 1912725748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28R102270600) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: NJ 28R102270600) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |