| NPI | 1912623752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03442597) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0013360) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |