| NPI | 1497353213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0011724) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 020838) |
| 183500000X Pharmacist (Licence: OH 03439179) | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |