| NPI | 1801979307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-3-13469) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP027744L) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |