| NPI | 1740806256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03438633) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 021011) |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2023-07-31 |