| NPI | 1013037258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP440346) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03228376) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-01-29 |