| NPI | 1740280940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 16079) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CT 9534) |
| 1835G0303X Pharmacist, Geriatric (Licence: MI 1837936) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |