| NPI | 1326329814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP440061) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: PA RP440061) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2012-02-16 |