| NPI | 1194988592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03129622-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 012097) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2012-06-04 |