| NPI | 1750591525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-26459) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA 23135138) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-02-23 |