| NPI | 1407119951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 059289) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2014-08-02 |