| NPI | 1902383508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302411615) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03337470) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2019-10-02 |