| NPI | 1053565226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18173) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-20847) |
| 183500000X Pharmacist (Licence: FL PS 31037) | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |