| NPI | 1265655302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS28428) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PU4971) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-04-06 |