| NPI | 1538969076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 75458) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03443867) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-03-14 |