| NPI | 1366678138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 17432) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 9394) |
| 183500000X Pharmacist (Licence: OH 03216478-2) | |
| Enumeration Date | 2009-06-06 |
| Last Update Date | 2009-06-06 |