| NPI | 1366203945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03443889) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP458200) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |