| NPI | 1396029146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20792) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-2-28040) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-10-01 |