| NPI | 1538411020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA 446353) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 059578) |
| 183500000X Pharmacist (Licence: OH 03330942-3) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2016-04-24 |