| NPI | 1922631571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 019531) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-3-19862) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |