| NPI | 1477824654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03318641) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0005441) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |