| NPI | 1396026787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 014654) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03129566) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2013-01-02 |