| NPI | 1760765069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03328650) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014279) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |