| NPI | 1073912630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 3439981) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 121942) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2023-02-07 |