| NPI | 1184725178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-27785) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 16831) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-03-26 |