| NPI | 1093791477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19436) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-2-26353) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2009-01-21 |