| NPI | 1558451617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS23624) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PU3536) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |