| NPI | 1154318822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS29748) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PU4676) |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2007-07-08 |