| NPI | 1881361301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835E0208X (Licence: OH 03442038) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61185934) |
| 183500000X Pharmacist (Licence: CO 23702) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2023-10-19 |