| NPI | 1659786184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233944-2) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH235251) |
| 183500000X Pharmacist (Licence: MO 2015027215) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2015-08-07 |