| NPI | 1124597679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: NY 064585) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 77532) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |