| NPI | 1417177817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 26977) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 013530) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-04-22 |