| NPI | 1225509672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 38017) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0009338) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |