| NPI | 1922241074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: MI 5302034752) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: AZ s016895) |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2009-04-18 |