| NPI | 1396036844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 012966) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0006797) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |