| NPI | 1962784348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 24114) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2012024154) |
| 183500000X Pharmacist (Licence: OH 03127283) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2024-09-03 |