| NPI | 1760859573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03334783) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 018042) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |