| NPI | 1306254834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 13594) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03225189) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |