| NPI | 1609175603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 12418) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV rp0005899) |
| 183500000X Pharmacist (Licence: OH 03221356) | |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |