| NPI | 1639599137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0008139) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03233551) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |