| NPI | 1619185378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03126173) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 013032) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-09-09 |