| NPI | 1982931739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RI05565200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 44940) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2026-04-27 |