| NPI | 1700269495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP039667R) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03217924) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |