| NPI | 1013375138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 015941) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03131751) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |