| NPI | 1124530787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: TX 62326) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PA RP449799) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2021-04-12 |