| NPI | 1750981692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236980) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 019469) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |