| NPI | 1174716898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: WV RP0006821) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: NC 23191) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: SC 35489) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: OH RPH.03233107) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2016-01-29 |