| NPI | 1275564676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WV RP0005902) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 03-3-18596) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: KY 011451) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |