| NPI | 1619573433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP453661) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0011974) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |