| NPI | 1578988093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 21885) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211428) |
| 183500000X Pharmacist (Licence: PA RP446638) | |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |