| NPI | 1396392635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0012356) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03439188) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2021-11-22 |