| NPI | 1205293172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 016452) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03232721) |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2026-05-06 |