| 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 |