| NPI | 1578986071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0005213) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202212758) |
| 183500000X Pharmacist (Licence: KY 017994) | |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2015-09-21 |