| NPI | 1891055083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS37615) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03224828) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2022-09-22 |