| NPI | 1003216706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 1059013) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 015322) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2017-06-26 |