| NPI | 1467727149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03112478) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP440125) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |