| NPI | 1790022549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 014542) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03129977) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |