| NPI | 1902128895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03328756) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 19902) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2021-02-10 |