| NPI | 1649661059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03440393) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 60083949) |
| Enumeration Date | 2015-02-07 |
| Last Update Date | 2023-03-09 |