| NPI | 1649499567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM 5392) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: NM 5392) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: NM 5392) | |
| 1835P1300X Pharmacist Psychiatric (Licence: NM 5392) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2016-07-19 |