| NPI | 1093058232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03217981) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 11071) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2026-07-12 |