| NPI | 1548530793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19574) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202210915) |
| 183500000X Pharmacist (Licence: WV RP0007645) | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |