| NPI | 1043574668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03115036) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-09061) |
| 183500000X Pharmacist (Licence: KY 009421) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |