| NPI | 1528436490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60565887) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH.03334641) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |