| NPI | 1407208929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007924) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP446954) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |