| NPI | 1639150295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 3215488) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 5845) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |