| NPI | 1760736854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03440507) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18377) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2022-09-29 |