| NPI | 1720477839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24736) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0005972) |
| 183500000X Pharmacist (Licence: PA RP043114L) | |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |