| NPI | 1306120811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS45999) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PU6861) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |