| NPI | 1962292078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03445119) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 29867) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |