| NPI | 1982766424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 16641) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PU 5097) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2012-04-02 |