| NPI | 1801172200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 045862-2) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03215636) |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2011-10-30 |