| NPI | 1598950453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 15543) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202207988) |
| 183500000X Pharmacist (Licence: WV RP00007154) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2014-07-11 |