| NPI | 1659467652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 5880) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03217879) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |