| NPI | 1073688990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 11448) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: NC 11448) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2013-05-20 |