| NPI | 1093004681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202007951) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 10965) |
| 183500000X Pharmacist (Licence: OH 12344) | |
| 183500000X Pharmacist (Licence: FL ps46230) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |