| NPI | 1649400409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP443081) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03329101) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |