| NPI | 1427429430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233494) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202212715) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |