| NPI | 1720522329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60687465) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 061894) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |