| NPI | 1861509424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0005428) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP040561R) |
| 183500000X Pharmacist (Licence: OH 03320315) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |