| NPI | 1235601030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236717) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: OH 03236717) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2023-09-12 |