| NPI | 1053939462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03439696) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202218052) |
| Enumeration Date | 2020-07-12 |
| Last Update Date | 2024-03-29 |