| NPI | 1346572989 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: FL PS63441) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 041426) | 
| Enumeration Date | 2010-02-08 | 
| Last Update Date | 2022-09-13 |