| NPI | 1740402569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: MO 2004009921) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MO 2004009921) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |