| NPI | 1952465007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-1-17684) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 009544) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |