| NPI | 1134564925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007745) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03331528-3) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |