| NPI | 1649588567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 64270) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03230708) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2011-07-26 |