| NPI | 1255872818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 018948) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03236501) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |