| NPI | 1205318771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03129648) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014724) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2021-05-20 |