| NPI | 1881137552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CT 0013233) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 062550) |
| 183500000X Pharmacist (Licence: NJ 28RI03681300) | |
| 183500000X Pharmacist (Licence: PA RP450341) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2018-02-21 |