| NPI | 1730528084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 057962) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 10259) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2016-05-26 |