| NPI | 1437499977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH RPH03118845) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0005299) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |