| NPI | 1689274151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03439887) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0120936) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |