| NPI | 1770835704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 07390) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16233-40) |
| 183500000X Pharmacist (Licence: OH 3122748) | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |