| NPI | 1982385969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03443407) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0014181) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2025-07-15 |