| NPI | 1356687834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH026150) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03330947-3) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2021-01-06 |