| NPI | 1770572646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: GA 15866) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: TN TN 5617) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2007-09-10 |