| NPI | 1124306600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03331350) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015635) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |