| NPI | 1063297877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03331430) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015687) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |