| NPI | 1629281639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-14251) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-27228) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2015-03-23 |