| NPI | 1851705404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 015006) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: KY 015006) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |