| NPI | 1477856441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NC 14714) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: VA 0202011733) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |