| NPI | 1821438896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP446619) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH03131761) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2021-04-06 |