| NPI | 1902200165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV 3721) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 008289) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |