| NPI | 1821613043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03237056) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 019624) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2021-06-04 |