| NPI | 1255613295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03230107) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA 445315) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |