| NPI | 1992218838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: OR 14188) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: WA 48118) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |