| NPI | 1760099279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 15036) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: MD 9107113) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |