| NPI | 1700506193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202218849) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 28055) |
| 183500000X Pharmacist (Licence: OH 03440849) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |