| NPI | 1871842153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2012029753) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03136363) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2020-04-13 |