| NPI | 1487167821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0004898) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03316929) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |