| NPI | 1104311687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03337908) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 77133) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-04-14 |