| NPI | 1679241848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03440283) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP454475) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2023-01-11 |