| NPI | 1447847561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 021000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP001099) |
| 183500000X Pharmacist (Licence: OH 06013871) | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |