| NPI | 1629420849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0008166) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP448236) |
| 183500000X Pharmacist (Licence: OH RPH.03233465) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |