| NPI | 1326010075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD #16209) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV #RP0006614) |
| 183500000X Pharmacist (Licence: PA #RP437459) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-03-11 |