| NPI | 1730590621 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: OR RPH-0008625)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0008625)  | 
| Enumeration Date | 2014-05-13 | 
| Last Update Date | 2014-05-13 |