| NPI | 1750576021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: WI 12034040) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: MN 113308) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |