| NPI | 1245312594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 10297) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: NE 10297) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NE 10297) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-11-16 |