| NPI | 1215222112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 9423) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 4667) |
| 183500000X Pharmacist (Licence: OH 03-1-17591) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |