| NPI | 1972644755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps40284) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL pu5942) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |