| NPI | 1053619023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007489) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202210102) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-12-08 |