| NPI | 1144528282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03123927) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60134552) |
| Enumeration Date | 2011-03-13 |
| Last Update Date | 2011-08-22 |