| NPI | 1023072733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202010223) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-17561) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |