| NPI | 1629222708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03328851) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2009020989) |
| Enumeration Date | 2008-11-16 |
| Last Update Date | 2019-11-08 |