| NPI | 1154790756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 6936) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03316074) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |