| NPI | 1063967362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 25724) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03233197) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |