| NPI | 1104024447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03226359) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP443240) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2021-11-01 |