| NPI | 1205228897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03230434) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015085) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |