| NPI | 1093082588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47030) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5158637) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |