| NPI | 1962005280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH233845) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03762100) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |