| NPI | 1083053219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC PH12304) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007002) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2014-05-02 |