| NPI | 1881130797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: TX 31928) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST015603) |
| 1835G0303X Pharmacist Geriatric (Licence: NM RP00008620) | |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |