| NPI | 1902197296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0006184) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03225152) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2024-07-03 |