| NPI | 1013290691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 014777) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26023595a) |
| 183500000X Pharmacist (Licence: OH 03328993) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |