| NPI | 1023400595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: OH 03438595) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: TX 056364) |
| 183500000X Pharmacist (Licence: NY 058419) | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2023-03-03 |