| NPI | 1912188657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS33649) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104243) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2012-12-06 |