| NPI | 1053691501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03127395) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 013786) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2020-06-29 |