| NPI | 1205599495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: OH 09203671) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 021022700) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |