| NPI | 1457709636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0009411) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH.03135252-1) |
| Enumeration Date | 2016-05-29 |
| Last Update Date | 2016-05-29 |