| NPI | 1114229192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 03230387) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 015177) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |