| NPI | 1871741199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 35270) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 35270) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |