| NPI | 1558630566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps29958) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH rph03120477-1) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |