| NPI | 1568951523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03319972) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 011449) |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2018-05-05 |