| NPI | 1265716013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-1-29522) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21671) |
| 183500000X Pharmacist (Licence: CA 63242) | |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |