| NPI | 1770030124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0009256) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017988) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |