| NPI | 1952858979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NY 064138) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0013719) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2020-04-20 |