| NPI | 1194934448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: FL PS #21002) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PU #2943) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |