| NPI | 1144388059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: AK 1074) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: MT 3141) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |