| NPI | 1548684178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 21913) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: NE 14043) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |