| NPI | 1619394590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 23687) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 5560) |
| 183500000X Pharmacist (Licence: WY 3034) | |
| 183500000X Pharmacist (Licence: FL 38734) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |