| NPI | 1528343951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0020562) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-036038) |
| 183500000X Pharmacist (Licence: OH 031-13504) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2015-04-02 |