| NPI | 1700209616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 67371) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03230410) |
| 183500000X Pharmacist (Licence: KY 015163) | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |