| NPI | 1124872155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CT PCT.0017000) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03443560) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2025-08-11 |