| NPI | 1699988550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 012425) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA814) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2011-04-19 |