| NPI | 1487179784 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP451667)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI011582)  | 
| Enumeration Date | 2017-08-08 | 
| Last Update Date | 2017-08-08 |