| NPI | 1366047839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0006535) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202218206) |
| 183500000X Pharmacist (Licence: KY 019782) | |
| 183500000X Pharmacist (Licence: OH 03219717) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |