| NPI | 1235205758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0006110) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 012671) |
| 183500000X Pharmacist (Licence: OH 03126049) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2015-03-24 |