| NPI | 1336994870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: IN 26031330A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03443287) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2025-08-15 |