| NPI | 1083051221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7118) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM rp00007751) |
| 1835G0303X Pharmacist, Geriatric (Licence: NV 18215) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2014-11-14 |