| NPI | 1821712399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 22759) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OH 03442488) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2024-08-14 |