| NPI | 1255838678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: IA 18104) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: IA 18104) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |