| NPI | 1164198396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS63196) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03440007) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2023-05-11 |