| NPI | 1679588073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03315923) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 9086) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |