| NPI | 1720541345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 064461-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03234052) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |