| NPI | 1902298490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03333938) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017287) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |