| NPI | 1194226605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007150) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208685) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |