| NPI | 1083996847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP440968) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH03122360) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |