| NPI | 1508075854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-16517) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 011658) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |