| NPI | 1023552502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 0009342) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: WV 0004145) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |