| NPI | 1649377235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NV 11551) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: CA RPH 46613) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-16 |