| NPI | 1083991467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03120721) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 17757) |
| Enumeration Date | 2011-11-13 |
| Last Update Date | 2011-11-13 |