| NPI | 1700421781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03230600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302045811) |
| 183500000X Pharmacist (Licence: KY 017508) | |
| 183500000X Pharmacist (Licence: WV RP0009001) | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |