| NPI | 1396174678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03579600) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA RPH79865) |
| 183500000X Pharmacist (Licence: NY 62428) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2026-03-27 |