| NPI | 1215603550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03135502) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 022672) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-02-29 |