| NPI | 1629429659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 10421888-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03135720) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2018-03-17 |