| NPI | 1972580504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 117356-7) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-24624) |
| Enumeration Date | 2005-12-24 |
| Last Update Date | 2021-01-28 |