| NPI | 1669767141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302024743) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26016818A) |
| 183500000X Pharmacist (Licence: OH 03218126) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2020-01-21 |