| NPI | 1053659912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS37377) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 3766) |
| 1835G0303X Pharmacist, Geriatric (Licence: FL PU6803) | |
| Enumeration Date | 2013-01-27 |
| Last Update Date | 2013-01-27 |