| NPI | 1013249390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054115) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: NY 054115) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-05-21 |