| NPI | 1518560952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03440298) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 021719) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |