| NPI | 1649606161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 18375) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 8370054-1701) |
| 183500000X Pharmacist (Licence: UT 8370054-8911) | |
| 183500000X Pharmacist (Licence: OH 03131889-1) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |