| NPI | 1619420262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03135430) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP450527) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |