| NPI | 1407472954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236977) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 019611) |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2022-12-29 |