| NPI | 1639426034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0008015) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211597) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-10-15 |