| NPI | 1336550045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: OR 8700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 8700) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |