| NPI | 1376030767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0009750) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 018722) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |