| NPI | 1134519291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03333555) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017021) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2022-11-14 |