| NPI | 1205444908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03129804) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 21305) |
| Enumeration Date | 2020-07-19 |
| Last Update Date | 2020-07-19 |