| NPI | 1164663456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: ID P5247) |
| Additional Taxonomies | 1835N0905X Pharmacist Nuclear (Licence: ID P5247) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |