| NPI | 1962992081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 77809) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03135890) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2019-03-21 |