| NPI | 1659407435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: AK 726) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: WA PH00010421) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |