| NPI | 1043827785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0009302) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03335091) |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-12-07 |