| NPI | 1063669869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS54573) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 264123-1) |
| 183500000X Pharmacist (Licence: OH 03131836) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PU8358) | |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2019-08-28 |