| NPI | 1750674339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NC 99107795) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL P16290) |
| 183500000X Pharmacist (Licence: SC 10879) | |
| 183500000X Pharmacist (Licence: GA RPH022485) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2018-07-06 |