| NPI | 1407155401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP444731) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 49450) |
| 183500000X Pharmacist (Licence: PA RPI002260) | |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2014-07-18 |