| NPI | 1679817829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 17527) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 3119195) |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2022-12-23 |