| NPI | 1194141192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0008289) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 2009027311) |
| 183500000X Pharmacist (Licence: KS 1-14974) | |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |