| NPI | 1790278505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: VA 0202206392) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202206392) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2019-10-22 |