| NPI | 1023253143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 033220072) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps40856) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |