| NPI | 1487261301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0010951) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03438497) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |