| NPI | 1205905643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 011257) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-17413) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |