| NPI | 1508393836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03122767) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MI 5302042211) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2026-06-11 |