| NPI | 1366009953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03443040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 022855) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-01-03 |