| NPI | 1649592015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051-290449) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26019201A) |
| 183500000X Pharmacist (Licence: OH RPH.03223536-2) | |
| 183500000X Pharmacist (Licence: MO 200303034) | |
| 183500000X Pharmacist (Licence: KS 1-13713) | |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |