| NPI | 1053959643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 37538) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007162) |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2019-12-15 |