| NPI | 1639432123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03232623) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 19188) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2020-12-02 |