| NPI | 1376544700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY I-0521661) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 26331) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-02-16 |