| NPI | 1700020658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: OH 03328782) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03328782) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2021-04-11 |