| NPI | 1972102184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03440104) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 021696) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2026-05-08 |