| NPI | 1003401597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 015988) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03444972) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2026-03-20 |