| NPI | 1053893834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03334504) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017761) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |