NPI | 1093705253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: FL PU4382) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS29198) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2007-07-08 |