| NPI | 1548613375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: MI 5302041519) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041519) |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2024-11-26 |