| NPI | 1598087769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 007582) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 007902 16395) |
| 183500000X Pharmacist (Licence: OH 03129872) | |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-02-15 |