| NPI | 1518318823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233888) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017563) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |