| NPI | 1609991306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-3-14388) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 15978) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |