| NPI | 1164782918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 24711) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03331015) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2023-08-07 |