| NPI | 1255686655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03131875-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S019161) |
| Enumeration Date | 2012-07-21 |
| Last Update Date | 2013-10-16 |