| NPI | 1215210620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NV 17599) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV 17599) |
| 1835P1300X Pharmacist, Psychiatric (Licence: NV 17599) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |