| NPI | 1982226999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04042900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 066611) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |