| NPI | 1558986703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0023144) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03337824) |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2020-09-03 |