| NPI | 1184215246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: TN 65432) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: MS D-07462) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |