| NPI | 1356612675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0006174) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03230275) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |