| NPI | 1306187869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 039214-1) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 40121) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP031973L) | |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |