| NPI | 1598219768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH RPH.03135910-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 122999) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |