| NPI | 1134421241 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 014089)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 13919)  | 
| 183500000X Pharmacist (Licence: OH 03120494)  | |
| Enumeration Date | 2010-11-22 | 
| Last Update Date | 2010-11-22 |