| NPI | 1215618228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302041159) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0013403) |
| 183500000X Pharmacist (Licence: OH 03440536) | |
| 183500000X Pharmacist (Licence: MA PH240119) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |