| NPI | 1518384643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 10040-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-2-14081) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |