| NPI | 1790381317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 015078) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 3230114) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |