| NPI | 1265631451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S013986) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03114999) |
| 183500000X Pharmacist (Licence: NV 16605) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2010-08-26 |