| NPI | 1568842870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0008234) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202212413) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |