| NPI | 1639705569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 03439587) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH238185) |
| 183500000X Pharmacist (Licence: WV RP0010527) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2021-01-19 |