| NPI | 1356068258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: FL PS65760) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03442649) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2023-11-03 |