| NPI | 1609097641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-1-08664) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 011239) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |