| NPI | 1730461039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: GA RPH014008) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: MI 5302023355) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2014-08-25 |