| NPI | 1205404662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 31173) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03233271) |
| 183500000X Pharmacist (Licence: VA 0202209951) | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-10-11 |