| NPI | 1164618575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03127239) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 11884) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2011-02-15 |