| NPI | 1821369489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007052) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03228290) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2022-04-06 |