| NPI | 1700309960 |
|---|---|
| Former Name | NILA EDONNA PENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 19628) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV 3158088) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-05-19 |