| NPI | 1790760528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03326883) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-3-26883) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2024-04-19 |