| NPI | 1952883514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03957100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP452660) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2021-08-04 |