| NPI | 1932312790 |
|---|---|
| Former Name | ERIKA SUZANNE SMUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0006825) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03326786) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |