| NPI | 1659655546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000036864) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007673) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2013-06-11 |