| NPI | 1457758013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: PA RP453924) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056848) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2024-03-15 |