| NPI | 1235563735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: OH 03232693) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH.03232693-2) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2016-06-30 |