| NPI | 1124129630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00071492) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 032995) |
| 1835G0303X Pharmacist Geriatric (Licence: NY 032995) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-05-19 |