| NPI | 1063074631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 0427221) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 0427221) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |