| NPI | 1609220094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7417) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 24599) |
| 183500000X Pharmacist (Licence: TX 55370) | |
| 183500000X Pharmacist (Licence: OH 03333644) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |