| NPI | 1720175607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV 4018) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03136342) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-07-28 |