| NPI | 1902212129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24324) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH.03234144) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2016-07-26 |