| NPI | 1619511268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 19685) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 3135992) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2021-12-31 |