NPI | 1487654083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: MD 14600) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MD 14600) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2025-09-11 |