| NPI | 1891009296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007497) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 25917) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2019-10-11 |