| NPI | 1881035848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03232792) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016490) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |