| NPI | 1184065252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 39535) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03224836) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |