| NPI | 1962700518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03311764) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH1901) |
| 183500000X Pharmacist (Licence: MD 15043) | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-07-18 |