| NPI | 1992066369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03314315) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP1006369) |
| 183500000X Pharmacist (Licence: NE 13860) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2021-01-26 |