NPI | 1902116684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: PA rp443508) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: OH 03327271) |
1835G0303X Pharmacist, Geriatric (Licence: MA ph25529) | |
Enumeration Date | 2010-10-15 |
Last Update Date | 2013-06-12 |