| NPI | 1457674392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 28335) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03233339) |
| 183500000X Pharmacist (Licence: PA 441709) | |
| Enumeration Date | 2010-03-07 |
| Last Update Date | 2019-09-10 |