| NPI | 1619180502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 3742) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: MT 3742) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |