| NPI | 1710258868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 63850) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS44449) |
| 183500000X Pharmacist (Licence: OH 03-3-2582) | |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2021-02-01 |