| NPI | 1528669603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: NY 041727-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02129800) |
| 1835G0303X Pharmacist Geriatric (Licence: FL 27009) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |