| NPI | 1366740409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0006365) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03230705) |
| Enumeration Date | 2011-03-13 |
| Last Update Date | 2022-12-20 |