| NPI | 1033501515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03132209) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016139) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2025-10-31 |