| NPI | 1144084088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03443937) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0135189) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |