| NPI | 1487075172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NE 13440) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: IA 21588) |
| 1835G0303X Pharmacist, Geriatric (Licence: TX 51013) | |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |