| NPI | 1578829743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007256) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P5901) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |