| NPI | 1770107021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03337901) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202216474) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |