| NPI | 1164656302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302046337) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-2-26267) |
| Enumeration Date | 2009-05-02 |
| Last Update Date | 2026-03-27 |