| NPI | 1922654599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03441494) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 26723) |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2023-02-02 |