| NPI | 1023678083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03132315) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007676) |
| 1835P0200X Pharmacist, Pediatrics (Licence: OH 8150569) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 3121548) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |