| NPI | 1184040461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03131427) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV 13512) |
| 183500000X Pharmacist (Licence: CA 66420) | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2023-08-15 |