| NPI | 1033633508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236461) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302045703) |
| 333600000X Pharmacy (Licence: CA 79312) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-03-15 |