| NPI | 1851749659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps42770) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PU7251) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |