| NPI | 1003242512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233269) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 50271) |
| 183500000X Pharmacist (Licence: AL P17166) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |