| NPI | 1750901112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 25439) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0010375) |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-04-25 |