| NPI | 1265106678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 68223) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03318470) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-16 |