| NPI | 1477093078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03334843) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017985) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |