| NPI | 1851716039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.079567) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18670) |
| 183500000X Pharmacist (Licence: OH 03131944) | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2022-06-03 |