| NPI | 1679812770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053224) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 053224) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 053224) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-08-08 |