| NPI | 1518412881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03334784) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 59143) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-22 |