| NPI | 1902238959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NY 056496-I) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056496-I) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2025-03-11 |