| NPI | 1518216506 |
|---|---|
| Former Name | VIRGINIA NOVACEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 17977) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 42217) |
| 183500000X Pharmacist (Licence: NV 15567) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |