| NPI | 1790520591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL 3156249) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 064820) |
| 183500000X Pharmacist (Licence: FL PS54997) | |
| 183500000X Pharmacist (Licence: NJ 28RI03819100) | |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-09-10 |