| NPI | 1154961761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000042953) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2013032789) |
| 183500000X Pharmacist (Licence: NC 23395) | |
| 183500000X Pharmacist (Licence: OH 03233519) | |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2020-01-11 |