| NPI | 1225315393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21904) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03131986) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2019-03-04 |