| NPI | 1518510635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0011611) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 26578) |
| 183500000X Pharmacist (Licence: PA RP453459) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |