| NPI | 1730561937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 044204) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: NY 3445) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |