| NPI | 1730462292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-28191) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03228191) |
| 183500000X Pharmacist (Licence: FL PS45760) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2020-11-28 |