| NPI | 1528490034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03232692-2) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18759) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2014-07-07 |