| NPI | 1386053940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233905) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017230) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |