| NPI | 1689279515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03132258) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007923) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |