| NPI | 1629359732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03129575) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 65371) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2021-06-29 |