| NPI | 1063858199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03132362) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26024901A) |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2021-04-26 |