| NPI | 1225391196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-3-26689) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26021771A) |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2012-06-16 |