| NPI | 1326047523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 044347) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 010324) |
| 1835G0303X Pharmacist, Geriatric (Licence: MO 044347) | |
| 1835G0303X Pharmacist, Geriatric (Licence: KY 010324) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2008-01-07 |