| NPI | 1376058446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03132158) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016180) |
| 183500000X Pharmacist (Licence: NC 23149) | |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2026-05-20 |