| NPI | 1992247985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 3696) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2975) |
| 183500000X Pharmacist (Licence: NV 18044) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |