| NPI | 1780972877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: PA RP445525) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445525) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2022-07-28 |