| NPI | 1497307755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03438776) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26028257A) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |