| NPI | 1578962551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233899) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0008583) |
| 183500000X Pharmacist (Licence: KY 017099) | |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2015-07-07 |