| NPI | 1124490842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: CA 59169) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 24833) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |