| NPI | 1902422702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03237097) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 019320) |
| 183500000X Pharmacist (Licence: WV 0012801) | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2024-04-17 |