| NPI | 1649950262 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: OK 11803)  | 
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: TX 33740)  | 
| 183500000X Pharmacist (Licence: OK 11803)  | |
| Enumeration Date | 2023-07-19 | 
| Last Update Date | 2023-07-19 |