| NPI | 1396414850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 30999) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 43688) |
| 183500000X Pharmacist (Licence: WV RP0012700) | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-01-16 |