| NPI | 1639499064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007546) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP444690) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2011-12-20 |