| NPI | 1013324953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NM RP00007762) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: TX 34008) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |