| NPI | 1043467632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-1-27295) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000027202) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |