| NPI | 1194902403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 44858) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-27383) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2020-06-09 |