| NPI | 1497234538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03337984) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202217177) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-04-10 |