| NPI | 1962875963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0006505) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 16279) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |