| NPI | 1265913651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03131671) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 12536053-1701) |
| 183500000X Pharmacist (Licence: VA 0202220160) | |
| 183500000X Pharmacist (Licence: NC 31161) | |
| 183500000X Pharmacist (Licence: TN 0000046069) | |
| 183500000X Pharmacist (Licence: KY 015996) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2022-06-03 |