| NPI | 1821636663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: TX 51805) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 51805) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |