| NPI | 1093562449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03122798) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302415514) |
| 183500000X Pharmacist (Licence: IL 051306066) | |
| 183500000X Pharmacist (Licence: KY 023846) | |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |