| NPI | 1508295627 |
|---|---|
| Former Name | ROSEANNA BORST KOEHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 28164) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03331477) |
| 183500000X Pharmacist (Licence: KY 012238) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2017-11-29 |