| NPI | 1528483153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03112405) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS24149) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2016-02-29 |