| NPI | 1174709703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NY 046800-1) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: NJ 28RI02526700) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |