| NPI | 1851614374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NY 037362-1) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: NH 2194) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |