| NPI | 1053895987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 63399) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03439232) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2022-12-23 |