| NPI | 1093060154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211475) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03132017-1) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |