| NPI | 1588945323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 010661) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03327131) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2018-03-17 |