| NPI | 1548484587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 22538) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PU 4634, PS 22538) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |