| NPI | 1316961444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 044397) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NM RP000006435) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-05-28 |