| NPI | 1912297862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03337917) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp440540) |
| 183500000X Pharmacist (Licence: NC 20259) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2020-12-23 |