| NPI | 1174959159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007938) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22910) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2020-10-05 |