| NPI | 1174819684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 43116) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03226338-2) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |