| NPI | 1578984290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03136323) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH027591) |
| 183500000X Pharmacist (Licence: FL PS47685) | |
| 183500000X Pharmacist (Licence: KY 016984) | |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2017-01-10 |