| NPI | 1609345222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03338040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 24511) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |