| NPI | 1639609795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236627) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 53184) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |