| NPI | 1265561393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: AK 682) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: OR 6574) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |