| NPI | 1275816464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03331332) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015567) |
| 183500000X Pharmacist (Licence: MI 5302415093) | |
| 183500000X Pharmacist (Licence: MS T-100550) | |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2023-04-27 |