| NPI | 1144824954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03439916) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 46595) |
| 183500000X Pharmacist (Licence: OK 19093) | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2022-07-21 |