| NPI | 1548451578 |
|---|---|
| Former Name | MONICA MARIA CARNAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000029510) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: TN 29510) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2018-10-18 |