| NPI | 1750875761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: TN 33074) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: VA 0202216553) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |