| NPI | 1942663422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03129354) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 12019) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |