| NPI | 1376694331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03230075) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 012625) |
| 183500000X Pharmacist (Licence: TX 38575) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-03-07 |