| NPI | 1356290100 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03443682) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 03443682) |
| Enumeration Date | 2026-01-26 |
| Last Update Date | 2026-07-27 |