| NPI | 1306222617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP451173) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03335141) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2016-11-02 |