| NPI | 1609993690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-1-19050) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 010921) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03119050) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-07-29 |