| NPI | 1710555156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 12929452-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 3440718) |
| Enumeration Date | 2021-06-13 |
| Last Update Date | 2026-05-19 |