| NPI | 1730329749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: VT 3008) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: VT 3008) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |