| NPI | 1992862759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 020227732) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-22764) |
| 183500000X Pharmacist (Licence: CO 14837) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |