| NPI | 1356779672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 056930-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 013325) |
| 183500000X Pharmacist (Licence: OH 03127646) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |