| NPI | 1912596677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS6010) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS60010) |
| 183500000X Pharmacist (Licence: OH 03-320187) | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |