| NPI | 1619334661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: PA RP034149L) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: MD 21738) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |