| NPI | 1952075319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 067404) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04071600) |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2021-08-09 |