| NPI | 1477564672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-3-26762) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS40422) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-06-24 |