| NPI | 1710408786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03439433) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 26765) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-04-26 |