| NPI | 1255896569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: TX 52398) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 52398) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |