| NPI | 1801946553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0011712) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: KS 1-13917) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2012-03-29 |