| NPI | 1437730553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV 12274) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03440352) |
| 183500000X Pharmacist (Licence: KY 021651) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |