| NPI | 1376068031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0010533) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 020221498) |
| 183500000X Pharmacist (Licence: WI 18866-40) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2018-08-01 |