| NPI | 1235370123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-3-21640) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 13083) |
| 183500000X Pharmacist (Licence: KY 013926k) | |
| 183500000X Pharmacist (Licence: LA 18383) | |
| 183500000X Pharmacist (Licence: AR PD10629) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |