| NPI | 1295219772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP452381) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP00007937) |
| 183500000X Pharmacist (Licence: NC 27699) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |