| NPI | 1457653990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: TX 52391) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 19256) |
| 183500000X Pharmacist (Licence: MD 20126) | |
| 183500000X Pharmacist (Licence: VA 0202210247) | |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2022-07-21 |