| NPI | 1669010823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236911) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0019970) |
| 183500000X Pharmacist (Licence: CA 92443) | |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2026-06-11 |