| NPI | 1912507435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 27181) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CO 17090) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |