| NPI | 1932562121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 43921) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL 2938) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |