| NPI | 1609391705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03236568) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302044779) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2024-10-17 |