| NPI | 1033360532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NC 27410) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: AZ 13242) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |