| NPI | 1003998964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 03328855) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35053771) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-12-15 |