| NPI | 1730834938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 74367) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03440124) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2024-09-16 |