| NPI | 1639511280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 16227) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP045055L) |
| 183500000X Pharmacist (Licence: WV RP0006222) | |
| 183500000X Pharmacist (Licence: FL PS36321) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |