| NPI | 1386462604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03445431) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302416828) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2026-06-26 |