| NPI | 1609095033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 03234305) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 16871) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2018-05-23 |