| NPI | 1568860252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 043938) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: NY 043938) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |