| NPI | 1912091802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 009947) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: SC 009947) |
| 1835G0303X Pharmacist, Geriatric (Licence: MA 23431) | |
| 1835G0303X Pharmacist, Geriatric (Licence: CT 08503) | |
| 1835G0303X Pharmacist, Geriatric (Licence: VA 0202204687) | |
| 1835G0303X Pharmacist, Geriatric (Licence: PA RP-043684-R) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CT 8503) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: VA 0202204687) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP-043684-R) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: MA 23431) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-09-06 |