| NPI | 1063822542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 17769) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 10194) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |