| NPI | 1689136806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03334536) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS51903) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |