| NPI | 1669774261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV 6013) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 20602) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |