| NPI | 1699063438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP441108) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 18634) |
| 183500000X Pharmacist (Licence: OH RPH03230864-2) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |