| NPI | 1720449903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 041000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 041000) |
| 1835G0303X Pharmacist, Geriatric (Licence: NY 041000) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |