| NPI | 1487764114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP-029335L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0003144) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |