| NPI | 1386625085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 18359) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-07-08 |