| NPI | 1184246589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP448182) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03233406) |
| 183500000X Pharmacist (Licence: OR RPH-0015256) | |
| 183500000X Pharmacist (Licence: WV RP0010640) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2026-07-09 |