| NPI | 1477987709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 058336) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 058336) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2016-07-26 |