| NPI | 1053807529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 82105) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03337197) |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2022-05-06 |