| NPI | 1902147481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202007106) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 20 035777) |
| 183500000X Pharmacist (Licence: MD 14133) | |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |