| NPI | 1912109943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: OR 8598) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: WA 20017) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |