| NPI | 1174004543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0010588) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03337485) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |