| NPI | 1922454446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0005634) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03121039) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |