| NPI | 1821517962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03135731) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 018549) |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2017-09-13 |