| NPI | 1336674720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03129658) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014666) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |