| NPI | 1013498443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 016494) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03232727) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |