| NPI | 1881381812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP454533) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03440411) |
| 183500000X Pharmacist (Licence: WV RP0012348) | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-05-08 |