| NPI | 1063454973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 050072) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 050072) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-06-27 |