| NPI | 1124578430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 36837) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 11551) |
| 183500000X Pharmacist (Licence: OH 03-3-22631) | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |