| NPI | 1396404992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03227994) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 188899) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |