| NPI | 1811264617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH RPH.03331147-3) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03331147) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2020-11-17 |