| NPI | 1346079225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 75568) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03444516) |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2025-06-24 |