| NPI | 1528410073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061195) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: NY 061195) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2024-04-30 |