| NPI | 1538573472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV rp0008356) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03234186) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |