| NPI | 1811037971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: CO 11742) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: TX 24180) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |