| NPI | 1891150769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 059351) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 3156726) |
| Enumeration Date | 2015-12-20 |
| Last Update Date | 2023-07-12 |