| NPI | 1821370263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS32615) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: FL PU5906) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |