| NPI | 1962879676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-19280) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 10055) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |