| NPI | 1629143797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0005626) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: WV RP0005626) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-01-29 |