NPI | 1255004768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03440830) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0012703) |
183500000X Pharmacist (Licence: WA PH61295213) | |
Enumeration Date | 2021-07-29 |
Last Update Date | 2023-12-27 |