| NPI | 1609160886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS39440) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH. 03226091) |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2011-07-15 |