| NPI | 1417089111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: IN 26018137A) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: KY 009718) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |