| NPI | 1528662087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 019610) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03337942) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |