| NPI | 1558673772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21105) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: GA RPH026725) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2013-04-11 |