| NPI | 1164724001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0008038) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 19791) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2013-06-28 |