| NPI | 1588946040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03438428) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RIO3173200) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2020-04-25 |