| NPI | 1083022511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP037688L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 29678) |
| 183500000X Pharmacist (Licence: MD 22292) | |
| 183500000X Pharmacist (Licence: NY 040268) | |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |