| NPI | 1609148881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH rph.03230801) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp446123) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2016-01-20 |