| NPI | 1073510541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: TN 38736) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: PA RP045532L) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2016-10-26 |