| NPI | 1063881183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0009319) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 121336) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2021-06-04 |