| NPI | 1376199315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 021035) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03438727) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2025-01-30 |