| NPI | 1174845283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 11327) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 31673) |
| 183500000X Pharmacist (Licence: NC 17998) | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2022-12-19 |