| NPI | 1205239027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 22330) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 033258093) |
| 183500000X Pharmacist (Licence: NC 20755) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |