| NPI | 1932609245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR 00117124) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03237138) |
| 183500000X Pharmacist (Licence: OR 00117124) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2019-04-02 |