| NPI | 1760655963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0003543) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 035960-1) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |