| NPI | 1801131065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0009040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211718) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2025-12-01 |