| NPI | 1962894840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233951) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017092) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |