| NPI | 1275180317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WI 19805-40) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03337497) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |