| NPI | 1992999692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-25223) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP) |
| 183500000X Pharmacist (Licence: AZ S018202) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2021-04-03 |