| NPI | 1316001282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: TN 4139) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: GA RPH016382) |
| 1835G0303X Pharmacist Geriatric (Licence: VA 0202013044) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |