| NPI | 1386927572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03331645-3) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22154) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2012-08-28 |