| NPI | 1407136955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 012293) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-27827) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2011-08-27 |