| NPI | 1831511138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: CA 3106) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 46127) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |