| NPI | 1558897769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 22833) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03331411-3) |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |