| NPI | 1487790648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03135458) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007425) |
| 183500000X Pharmacist (Licence: NC 17204) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2016-10-26 |