| NPI | 1386212272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03440716) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH pending) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-07-07 |