| NPI | 1649590480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP034772l) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: PA PA095889l) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |