| NPI | 1841862612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 070559) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03440784) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2026-03-31 |