| NPI | 1962784017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233171) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 65529) |
| 183500000X Pharmacist (Licence: NC 22498) | |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2013-08-09 |