| NPI | 1912286840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: CO 18376) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 11783) |
| 183500000X Pharmacist (Licence: CA 54470) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |