| NPI | 1861762643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007545) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015047) |
| 183500000X Pharmacist (Licence: OH 03230325) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |