| NPI | 1093009235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19055) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03228078) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |