| NPI | 1093065450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03132291) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016252) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2014-06-15 |