| NPI | 1144503467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236389) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17431) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2023-06-08 |