| NPI | 1033126545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-3-16867) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 30646) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-03-03 |