| NPI | 1104331842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NC 15761) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: TN 9455) |
| 1835G0303X Pharmacist, Geriatric (Licence: SC 11755) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |