| NPI | 1881082600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 10531) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 17498) |
| 1835G0303X Pharmacist, Geriatric (Licence: SC 10531) | |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2021-07-10 |