| NPI | 1063007003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-25211) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: OH 9103270) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |