| NPI | 1588957989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236467) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014637) |
| 183500000X Pharmacist (Licence: WV RP0009523) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2026-05-10 |