| NPI | 1912689357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: OH 03443451) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: MI 5302415913) |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2025-02-24 |