| NPI | 1467887513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03311892) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS48902) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2019-07-23 |