| NPI | 1396036968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP445078) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007565) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2018-09-15 |