| NPI | 1790907426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP-035269-L) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: PA RP-035269-L) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-01-19 |