| NPI | 1245882919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03438698) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 20865-40) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2021-09-28 |