| NPI | 1194007336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03127467) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 120498) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |