| 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 |