| NPI | 1245096304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 068756) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03442158) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |