| NPI | 1477820165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03129744) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP446202) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |