| NPI | 1679652887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0004708) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP044737R) |
| 183500000X Pharmacist (Licence: OH 03-2-18020) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2012-06-12 |