| NPI | 1801152798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP043072L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 009728) |
| 183500000X Pharmacist (Licence: OH 03120984) | |
| 183500000X Pharmacist (Licence: WV RP0004923) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2015-05-04 |