| NPI | 1336363969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 17349) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-27565) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-08-13 |