| NPI | 1790228419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I062299) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03444191) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2024-09-04 |