| NPI | 1225539299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03441613) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 123105) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2023-03-10 |