| NPI | 1417296815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH RPH.03129636-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13013) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |