| NPI | 1083042527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03319948) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 40846) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2022-03-08 |