| NPI | 1831607829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 24613) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 60473) |
| 183500000X Pharmacist (Licence: OH RPH.03237540-2) | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |