| NPI | 1346697141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03334979) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 24021) |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2016-05-21 |