| NPI | 1982129524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236926) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 66625) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-12-19 |