| NPI | 1700479441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: MO 2001003658) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2001003658) |
| 183500000X Pharmacist (Licence: IL 051.293641) | |
| 1835G0303X Pharmacist, Geriatric (Licence: IL 051.293641) | |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2021-02-13 |