| NPI | 1184970188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH RPH.03132084-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234029) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |