| NPI | 1598974529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 00043162) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-2-26211) |
| 183500000X Pharmacist (Licence: NC 17625) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |