| NPI | 1487521019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 025581) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03446034) |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2026-02-22 |