| NPI | 1689015950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233329) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0008133) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2026-05-08 |