| NPI | 1265534218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 45737) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-3-18350) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |