| NPI | 1427591478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-24902) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH RP045648L) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |