| NPI | 1902586860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03443282) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP457702) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2025-10-29 |