| NPI | 1255383782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: MA 25656) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 25656) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-10-16 |