| NPI | 1093061335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH RPH.03230726-2) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP442895) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |