| NPI | 1235413808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03316927) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 15216) |
| 183500000X Pharmacist (Licence: WY 2464) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |