| NPI | 1528070125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03221501) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-2-21501) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-12-29 |