| NPI | 1831107119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 9370) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: VA 0769) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |