| NPI | 1376148908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 42795) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 033169403) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |