NPI | 1336532837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 057823) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02990500) |
Enumeration Date | 2015-03-09 |
Last Update Date | 2018-11-16 |