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 |