| NPI | 1043810666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0008578) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03234083) |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |